Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.00 / $2,747.00 / $5,484.00	Facility		$1,924.00	$2,747.00	$5,484.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Professional		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $879.73 / $1,114.95 / $1,337.94	Professional		$879.73	$1,114.95	$1,337.94
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,194.61 / $1,307.38 / $1,543.52	Professional		$1,194.61	$1,307.38	$1,543.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.16 / $1,070.34 / $1,248.74	Professional		$981.16	$1,070.34	$1,248.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,155.00 / $2,155.00	Facility		$2,155.00	$2,155.00	$2,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.07 / $1,114.95 / $1,369.68	Professional		$845.07	$1,114.95	$1,369.68
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $970.74 / $1,430.71	Professional		$29.27	$970.74	$1,430.71